Department of Gynecologic Oncology and Reproductive Medicine, The University of Texas MD Anderson Cancer Center, Houston, Texas.
J Minim Invasive Gynecol. 2013 Nov-Dec;20(6):766-9. doi: 10.1016/j.jmig.2013.06.001. Epub 2013 Jul 11.
The rate of venous thromboembolic events (VTEs) including deep venous thrombosis and pulmonary embolism among women undergoing gynecologic surgery is high, particularly for women with a gynecologic malignancy. Current guidelines recommend VTE thrombopropylaxis in the immediate postoperative period for patients undergoing open surgery. However, the VTE prophylaxis recommendations for women undergoing minimally invasive gynecologic surgery are not as well established. The risk of VTEs in patients undergoing minimally invasive surgery appears to be low based on retrospective analyses. To date, there are no established guidelines that specifically provide a standard of care for patients undergoing minimally invasive gynecologic surgery for benign or malignant disease.
妇科手术患者（包括深静脉血栓形成和肺栓塞）的静脉血栓栓塞事件（VTE）发生率较高，尤其是妇科恶性肿瘤患者。目前的指南建议对接受开腹手术的患者在术后立即进行 VTE 血栓预防。然而，对于接受微创妇科手术的患者，VTE 预防建议尚未得到很好的确定。基于回顾性分析，接受微创手术的患者发生 VTE 的风险似乎较低。迄今为止，尚无专门针对良性或恶性疾病接受微创妇科手术的患者提供护理标准的既定指南。
